NCG080816_MONITORING INFO_20150205

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
L� MONITORING REPORTS
� 5
16 )' 0
DOC DATE
❑ p� 0
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
CERTIFICATE OF COVERAGE NO. NCGO80816 SAMPLE COLLECTION YEAR 2014
FACILITY NAME Public Services Facility SAMPLE PERIOD ❑.lan,_June ® July -Dec.
COUNTY Rowan or ❑ Monthly( (month)
PERSON COLLECTING SAMPLES Keith Redman, Jake Sterling DISCHARGING TO CLASS ❑ORW - ❑HQW : ❑Trout ❑PNA
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112 RECEIVED ❑Zero -flow ❑Water Supply ❑SA
LABORATORY R&A Cab Lab Cert: # 34 Other C
FE0 Q�5��2015 -.
Comments on sample collection or analysis:
GEN,rRAL FILES PLEASE REMEMBER TO SIGN-OWTHE REVERSE
�WIR'ECTION
Did this facility perform .Vehicle'Maintenance Activities using More than 55 gallons of new°motor oil per month? X yes no
(if yes, report your analytical results in the table immediately below)'
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this periodII sae ,
r
�.• v+ .�-..-.._EFF+'.F
Na.
� xy� 'zW.
Sample�Collected,otai}Suspended
s-wr
.. --��. 4��,:�+t:•.�.-�-
.' Solids, ng/
_
• ,w...pH,�
*je
Standard"units
xras.�; �-�ez z=,'csrr°—: fi•.�. :•; ,a ...ur. r.
Non-Polar011iarid?Grease%TPH EPA
-•-—__
Methodib64(SGTaHM}, mg/a.sTh�_+i*'ir3t13::"'kls
fi6e"btor4piU g _.mn%dd/yr
�. r -
u .�- '
V
#d "{ �.4�5=+:�:.f1di�3A"�
R£i 1`
�50 nr 100�see permlt35
g-t'jBenchmark
�Wi
�-.
FLSW01
12/29/2014
< 5.4
6.3
< 5
Part B: Oil/water Separators and Secondary Containment Areas'atPetroleumBulk Stations arid.7erminals (It: applicable)
4litFllDate00556.
&" OU530 `*
00400No
SarnpleCollected;NonI
,Oil andGrease%TPH'EP INlethod
'atalSu pendedkSolicJs;
�z
:� pFl0tl%Yr!164
(5GT'HEM) I!}!;/
S nd I� In is
mg/L- :. Y
50o1r 100 eeiermrt =_.s�,6p<90N/A
i��15€
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SVIU-250 last revised April 11, 2013
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STORM EVENT CHARACTERISTICS:
Date 12/29/2014 (first event sampled)
Total Event Precipitation (inches): 0.75"
Date (Fist each'additional event`"sampled this reporting period, and rainfall amount) ._
Total Event Precipitation (inches):
Note: If you report a sample value in. excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General _Permit text.
FOR PARTA AND PART-B:MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION-B.-
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT.,THE SAME.OUT'FALLTRIGGER TIER 2.REQUIREMENTS. SEE PERMIT PARTII.SECTION.B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT.ANY.ONE.OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
JMaV;- :odAiaal-an0n--co�zy of this_DMR -including-all "No Discharge".reports, within 30.days•of receipt -of the lab results-Lor at end -of monitoring period in
the case'of. "No Discharge"- Le to: -� _
Division of Water Quality,
Attn: DWQ.Central Files
r.
1617 Mail Service.Center _
Raleigh, North Carolina 27699-1617 ;
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: - -
"I certify, under penalty of law,.that this document and all attachments were•prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,'or those persons
directly responsible for gathering the information, the information submitted is, to the best of,my, knowledge and belief, true, accurate, and complete.,,! am aware that
there are significant penalties for submitting false information, including the possibility'offines and imprisonment for knowing violations."
(Si tore of'Permittee} (Date}
A R.
Additional copies of this form may be downloaded at: http://p-ortal.n-cdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 ° ` - last revised April 11" 2013
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